Exhibit J-ExamplePileBurnPlan.pdf

Exhibit J – Example Pile Burning Burn plan, Use for Bid Purposes only!

Prescribed Fire Plan Page 1 June 28, 2022

Element 1:

Signature Page

Administrative Unit(s): Prairie City R.D – Malheur National Forest

Project Name: Programmatic Pile Burn Plan (2018)

Complexity Rating: LOW

Minimum Burn Boss Qualification: RXB-3

Name and Qualification or Position Date

Prepared By: Brie Myers (RXB 3) , Justin Clarry (RXB 2) 10/2/2017

Technical Reviewer: Brian Bishop 10/2/2017

Recommended By:

Recommended By:

Approved By:

Agency Administrator

Prescribed Fire Plan

Prescribed Fire Plan Page 2 June 28, 2022

Table of Contents

Element 1: Signature Page

Element 2, Part A: Agency Administrator Ignition Authorization

Element 2, Part B: Prescribed Fire Go/No-Go Checklist

Element 3: Complexity Analysis Summary

Element 4: Description of the Prescribed Fire Area

Element 5: Objectives

Element 6: Funding

Element 7: Prescription

Element 8: Scheduling

Element 9: Pre-Burn Considerations and Weather

Element 10: Briefing

Element 11: Organization and Equipment

Element 12: Communication

Element 13: Public and Personnel Safety, Medical

Element 14: Test Fire

Element 15: Ignition Plan

Element 16: Holding Plan

Element 17: Contingency Plan

Element 18: Wildfire Conversion

Element 19: Smoke Management and Air Quality

Element 20: Monitoring

Element 21: Post-Burn Activities ................................................................... Error! Bookmark not defined.

Appendices

Appendix A: Maps

1. Vicinity Map ....................................................................................... Error! Bookmark not defined.

2. Project Map

3. Other Maps

Appendix B: Technical Reviewer Checklist

Appendix C: Complexity Analysis

Appendix D: Agency-Specific Job Hazard Analysis or Risk Assessment

Appendix E: Fire Behavior Modeling Documentation or Empirical Documentation

Appendix F: Smoke Management Plan and Smoke Modeling Documentation (Optional)Error! Bookmark not defined.

Prescribed Fire Plan Page 3 June 28, 2022

Prescribed Fire Plan Page 4 June 28, 2022

Element 2, Part A: Agency Administrator Ignition Authorization

Instructions: The Agency Administrator’s Ignition Authorization is the intermediate planning review process (i.e., between the Prescribed Fire Complexity Rating System Guide and Go/No-Go Checklist) that should be completed before a prescribed fire can be implemented. The Agency Administrator’s Ignition Authorization evaluates whether compliance requirements, Prescribed Fire Plan elements, and internal and external notifications have been or will be completed and expresses the Agency Administrator’s intent to implement the Prescribed Fire Plan. If ignition of the prescribed fire is not initiated prior to the expiration date determined by the Agency Administrator, a new approval is required.

Yes No Key Element Questions

A. Has anything changed since the Prescribed Fire Plan was approved or revalidated?

Such as drought or other climate indicators of increased risk, insect activity, new subdivisions/structures, smoke requirements, Complexity Analysis Rating.

B. Have compliance requirements and pre-burn considerations been completed?

Such as preparation work, NEPA mitigation requirements, cultural, threatened and endangered species, smoke permits, state burn permits/authorizations.

C. Can all elements and conditions specified in the Prescribed Burn Plan be met?

Such as weather, scheduling, smoke management conditions, suitable prescription window, correct season, staffing and organization, safety considerations, etc.

D. Are processes in place to ensure all internal and external notifications and media releases will be completed?

E. Has key agency staff been fully briefed about the implementation of this prescribed fire?

F. Are there circumstances that could affect the successful implementation of the plan?

Such as preparedness level restrictions, resource availability, other prescribed fire or wildfire activity.

G. Have you communicated your expectations to the Burn Boss and FMO regarding if and when you are to be notified that contingency actions are being taken?

H. Have you communicated your expectations to the Burn Boss and FMO regarding decisions to declare the prescribed fire a wildfire?

Other:

Recommended by: _______________________________________ Date: ______________ FMO/Prescribed Fire Burn Boss

Approved by: ___________________________________________ Date: ______________ Agency Administrator

Approval expires (date): ___________________________________

Prescribed Fire Plan Page 5 June 28, 2022

Element 2, Part B: Prescribed Fire Go/No-Go Checklist

Questions Yes No

A. Are there conditions (such as drought or fuel loading) in or adjacent to the ignition unit that have changed or that were not considered in the prescription development?

• If Yes, go to item B.

• If No, proceed to checklist below.

B. Has the Prescribed Fire Plan been reviewed and have an amendment and technical review been completed, or has it been determined that no amendment is necessary?

• If Yes to any, proceed to checklist below.

• If No, STOP. An amendment is needed.

Yes No Go/No-Go Checklist

Have ALL permits and clearances been obtained?

Have ALL the required notifications been made?

Have ALL the pre-burn considerations and preparation work identified in the prescribed fire plan been completed or addressed and checked?

Have ALL required current and projected fire weather forecasts been obtained and are they favorable?

Are ALL prescription parameters met?

Are ALL smoke management specifications met?

Are ALL planned operations personnel and equipment onsite, available, and operational?

Has the availability of contingency resources applicable to today’s implementation been checked and are they available?

Have ALL personnel been briefed on the project objectives, their assignment, safety hazards, escape routes, and safety zones?

After evaluating the test fire, in your judgment can the prescribed fire be carried out according to the Prescribed Fire Plan, and will it meet the planned objective?

If all the questions were answered with “Yes,” proceed with a test fire. Document the current conditions, location, and results.

Print one copy of this checklist for each day of active ignition.

Burn Boss Date

Prescribed Fire Plan Page 6 June 28, 2022

Element 3: Complexity Analysis Summary

This summary table is based on the ratings and rationale provided in the worksheet in Appendix C.

Ignition Unit Name:

Element Risk Potential Consequences Technical Difficulty

1. Potential for escape LOW LOW LOW

2. The number and dependence of activities

LOW LOW LOW

3. Offsite values LOW LOW LOW

4. Onsite values LOW LOW LOW

5. Fire behavior LOW LOW LOW

6. Management organization LOW LOW LOW

7. Public and political interest LOW MODERATE LOW

8. Fire treatment objectives LOW LOW LOW

9. Constraints LOW LOW LOW

10. Safety LOW LOW LOW

11. Ignition procedures/ methods LOW LOW LOW

12. Interagency coordination LOW LOW LOW

13. Project logistics LOW LOW LOW

14. Smoke management LOW LOW LOW

Complexity Rating Summary

Complexity Factor Overall Rating

Risk LOW

Potential Consequences LOW

Technical Difficulty LOW

Summary Complexity Determination LOW

Rationale:

Prescribed Fire Plan Page 7 June 28, 2022

The work will be accomplished during cool and wet weather conditions. Burning will be accomplished when 1-hour fuel moisture is near or above moisture of extinction. At least a Burn Boss Type 3 qualifications are required to conduct burning operations outlined in this burn plan at low complexity.

Prescribed Fire Plan Page 8 June 28, 2022

Element 4: Description of the Prescribed Fire Area

Element 4: Description of the Prescribed Fire Area

Project Name: Pile Burn Plan

Ignition Unit Name:

A. Physical Description Location: Narrative description of the location of the prescribed fire project area and ignition unit(s), including legal description, UTM coordinates and/or latitude/longitude (decimal degrees; NAD83 preferred), county, and state.

Narrative Description:

Pile burning will occur on the Prairie City Ranger District.

• Multiple RXB3’s may work off this burn plan simultaneously.

• Most pile units will have an average spacing of 20’ by 20’ and could be located in plantations and mature timber stands ranging from open Ponderosa pine to mixed conifer.

Size: Area, in acres, of the project with a breakdown by ignition unit and/or ownership if applicable.

Total acres in this plan will vary because this burn plan is intended to be used over multiple years with minor adjustments of the spreadsheet and maps in Appendix A. These adjustments will be made on a yearly basis to account for completed piled units into the future.

Topography: Identify the upper and lower range of elevation, slopes (max, min, and average), and aspect(s) of the prescribed fire project area.

High Elevation: 7000 feet Drainage: See Narrative Low Elevation: 5000 feet Aspect: All Present Average Slope: 20%

Pile burning will occur on the Prairie City Ranger District. All slope aspects are present, elevations will range be between 5000 to 7000 feet.

Project Area: The prescribed fire project area covers the entire area where the fire will be ignited and may be allowed to burn under the plan as documented in the NEPA decision. Describe the physical, natural, and/or human-made boundaries (including multiple units) of the prescribed fire project.

Prairie City Ranger District boundary

B. Vegetation and Fuels Description Onsite Fuels Data Adjacent/Surrounding Area Fuels Data

Fuels Category X Activity Fuels

Fuels Category X Activity Fuels

Natural Fuels X Natural Fuels

FBPS Fuel Model(s) 2,8,9,10 FBPS Fuel Model(s) 2,8,9,10

Prescribed Fire Plan Page 9 June 28, 2022

Fire Regime(s) Fire Regime(s) 1, 2, 3 Condition Class(s) Condition Class(s) 2 & 3

Fu el

L oa di ng

Photo Series General Description of Adjacent Fuels 0 – ¼” N/A Adjacent fuels range from very light grass and scab to heavy dead and down. 0 – 1” N/A 1 – 3” N/A 3 – 9” N/A

9 – 20” N/A 20” + N/A

Live Woody: N/A Live Herbaceous: N/A Fuels Depth: N/A Duff Depth: N/A

Total Fuel Loading: N/A

Fuels Description Narrative:

Timber stands range from open Ponderosa pine to mixed conifer. Activity and natural fuels are generally comprised of 1” – 9” dead material.

C. Description of Unique Features, Natural Resources, Values

Heritage: Any possible new sites Identified/found during implementation will be protected until cleared by the District Archeologist.

D. Maps: Include maps in Appendix A. See IPFPIPG (2017) pp. 22-23 for more information about the required and optional maps.

See Appendix A.

Prescribed Fire Plan Page 10 June 28, 2022

Element 5: Objectives

Element 5: Objectives Project Name:

Ignition Unit Name:

Specific, Measurable, and Attainable Resource and Fire Objectives

Resource Objectives

• Reduce Natural and/or Activity surface fuels

• Maintain 80% of existing snags and large down woody material.

• 10% or less mortality in live trees (pile burn unit)

Prescribed Fire Objectives

1) Meet an average 80% consumption of each pile ignited.

Element 6: Funding

Element 6: Funding Project Name:

Ignition Unit Name:

Prescribed Fire Phase Funding Source Estimated Cost

Total of All Estimated Costs

Prescribed Fire Plan Page 11 June 28, 2022

Element 7: Prescription

See also Appendix E: Fire Behavior Modeling Documentation or Empirical Documentation.

(Fire Behavior Narrative)

Ignition

Prescription Coverage:

Fire Behavior Narrative or Description of Empirical Evidence

Summarize the fire behavior identified in the prescription and how it will achieve the desired treatment objectives.

Burning will occur when fuel and weather conditions limit active fire spread/creep. If active fire spread/creep is greater than 10ft from the original pile(s), the RXB3 should revaluate fuel & weather conditions and make the appropriate decision to continue or discontinue ignitions.

Objectives of igniting piles will be met by applying the following:

1. Ignitions should occur when the weather forecast shows an extended cool or wet trend.

2. Piles should be monitored as long as smokes are visible and the units are still accessible. This information should be recorded.

Modeling to determine the Fire Behavior Prescription is primarily based on fine fuel moisture and wind speed. Any temp/ RH combination that provide the appropriate fine fuel moisture are considered within prescription. A combination of the Max (hottest) or Min (coolest) temperature and RH may be out of prescription. It is not recommended to burn on the dry end of the prescription.

Prescribed Fire Plan Page 12 June 28, 2022

(Environmental)

Ignition

Prescription Coverage:

Weather Low Fire Behavior

(Within Unit)

High Fire Behavior

(Within Unit)

Optimal Fire Behavior

(Within Unit)

Maximum Fire Behavior

(Outside Unit)

Relative humidity <25% 25% -- 25%

Mid-flame wind speed (mi/h) <10 10 -- 10

Fuel Moisture

1 hour (%) >15% 15 -- 15

10 hour (%) >15% 15 -- 15

100 hour (%) >16% 16 -- 16

Fire Behavior High Fire Behavior (Within Unit) Maximum Fire Behavior (Outside Unit)

Type of Fire HEAD FIRE HEAD FIRE

Fuel Model Tu 1 Tu 1 Flame length (ft)

0.5 0.5

Rate of spread (ch/hr) 0.6 0.6

Prescribed Fire Plan Page 13 June 28, 2022

Prescribed Fire Plan Page 14 June 28, 2022

Element 8: Scheduling

Element 8: Scheduling Project Name:

A. Implementation Schedule

• Pile burning will occur during the Spring, Fall and Winter.

B. Project Duration

• It is intended for this burn plan to span several years of pile burning. The spreadsheet and maps will be updated annually.

C. Constraints Regional approval prior to initiation is required at a National Preparedness Level IV, and National approval is required prior to initiation at a National Preparedness Level V, as described in the National Interagency Mobilization Guide. This prescribed fire will not be initiated at a National Preparedness Level IV or V.

• Fire spread/creep should not be allowed in pile units immediately adjacent to private property unless man made or natural barriers have been identified.

• Summit RHCA Units – Limited amount of creep/spread within unit boundaries.

• All prescribed burning activities will be conducted consistent with requirements for reporting, planning, and accomplishment as required by the Oregon Smoke Management Plan. All prescribed burning activities will be accomplished in accordance with the State Implementation Plan of Federal Clean Air Act. Regional approval prior to initiation is required at a National Preparedness Level IV, and National approval is required prior to initiation at a National Preparedness Level V, as described in the National Interagency Mobilization Guide. This prescribed fire will not be initiated at a National Preparedness Level IV or V.

Prescribed Fire Plan Page 15 June 28, 2022

Element 9: Pre-Burn Considerations and Weather

Element 9: Pre-Burn Considerations and Weather

Project Name:

Ignition Unit Name:

A. Onsite and Offsite Considerations Onsite:

• For any specific onsite values and considerations refer to the RXB3 spread sheet.

Offsite:

John Day Interagency Coordination Center will be provided a copy of the approved Prescribed Fire Plan prior to implementation.

Notify the following:

1. Adjacent land owners and individuals listed on the RXB3 spread sheet.

2. Local media

3. S.O and Prairie City R.D front desk.

B. Method and Frequency for Obtaining Weather and Smoke Management Forecast(s)

A Spot Weather Forecast or a local area forecast, from the National Weather Service, is required prior to ignition day and should be considered for following ignition days, based on forecasted weather parameters and potential for active fire behavior, as determined by the RXB3(s). Spot weather forecast can be requested online at http://spot.nws.noaa.gov/cgi-bin/spot/spotmon?site=pdt or requested through the John Day Interagency Coordination Center. Local weather phenomena and considerations include evening down slope winds and early morning inversions.

Smoke Management Forecast(s):

The Units will be registered in FASTRAX at least one week prior to the burn, planned in FASTRAX prior to ignition and following accomplishment. The state smoke management forecasting website may be referenced for any smoke forecast conditions that may affect the project area;

http://www.odf.state.or.us/DIVISIONS/protection/fire_protection/DAILY/lmt.asp. The ODF smoke management forecaster can also be contacted at (503) 945-7401.

http://www.odf.state.or.us/DIVISIONS/protection/fire_protection/DAILY/lmt.asp

Prescribed Fire Plan Page 16 June 28, 2022

C. Notifications (Internal and external organizations and individuals that might be affected by the burn)

Organizations and Individuals (Including Emergency Dispatchers)

Organization When to Notify

Contact Information Contact Name Date of Contact Who Contacts

John Day Interagency Coordination Center

Day of orjdidc@gmail.com 541-575-1321 Lead Dispatcher Burn Boss

Forest Information Officer

(PIO)

1-2 weeks before

541-575-3000 Burn Boss /

Forest Fuels Planner

Oregon Department of Forestry

Before 541-575-1139 Duty Officer JDICC

Blue Mountain Ranger District

Before 541-575-3405 Duty Officer JDICC

Burns Ranger District Before 541-573-4627 Duty Officer JDICC Prairie City Ranger District Before 541-820-3800 Duty Officer Burn Boss 911 Dispatch Day of 541-575-0195 On Shift Dispatcher JDICC Private Property Owners Before See RX Spreadsheet Burn Boss

• Note: John Day Interagency Coordination Center (JDICC)

Media Contacts

Type of Media Media Name Location Telephone Number Radio KJDY Radio John Day, Oregon 541-575-1400 News Paper Blue Mountain Eagle John Day, Oregon 541-575-0710 mailto:orjdidc@gmail.com

Prescribed Fire Plan Page 17 June 28, 2022

D. Land Owner Contact Information-

Logan Valley

S. 4- parcel 201- Shannon and Wanda Voigt-541-820-4442, Shannon- 541-620-1440, Wanda- 541-620-

S. 9- parcel 200, 202- Robert and Rosita Stanbro 541- 820-3591 verified

S. 21, 27, 28- parcel 400, 800, 500- Burns Paiute Tribe, Carter Crouch, Wildlife program manager, carter.crouch@burnspaiute-nsn.gov, 541-573-8086

S. 24, parcel 600, 700, 300- DRC Logan Valley LLC, Donna Carter- 541-620-0241, Matt Carter- 541-620-

S. 36, parcel 900- Jane M Combs Ranch- Wendell Black 541-820-4670 good number

Summit Prairie-

John Sanowski- 820-4346, 620-2931, Crane Prairie

Justin Jacobs- 541-620-1014 (cell)

Email Preferred: jjacobs@riverside-feeders.com

Dads Area

T12 R34 Tax lot 600,900,2200, Emmel Brothers , Dough Emmel 541-620-2199 and Darrel Emmel 541- 620-1873.

T12 R34 Tax Lot 1000. Douglas and Tracy Baker, Unknown contact information, Fire Side Building.

T12 R34 Tax Lot 1702,101, Tim and Aimee Rude, Tim 541-206-2425, Aimee 541-206-2421

T12 R34 Tax Lot 1703, Robert Nettinga, 760-419-4524. robertnettinga@gmail.com

T13 R34 Tax Lot 500, V&R Ranch LLC, Ricco Ranch, Pat Voight 541-620-2647

T13 R34 Tax Lot 200 and 400, Lonely Mountain Sanctuary, LLC , Mark Bellamy. Contact information not provided.

T13 R34 Tax Lot 2101, Jay Burril Etal, 541-620-1559 mailto:carter.crouch@burnspaiute-nsn.gov mailto:robertnettinga@gmail.com

Prescribed Fire Plan Page 18 June 28, 2022

T13 R34 Tax Lot2200, Luke Palan, Contact information not provided.

Prescribed Fire Plan Page 19 June 28, 2022

Prescribed Fire Plan Page 20 June 28, 2022

Element 10: Briefing

The Prescribed Fire Burn Boss will ensure that any new personnel arriving at the prescribed fire receives a briefing prior to assignment.

Element 10: Briefing Project Name:

Ignition Unit Name:

Briefing Checklist

Yes No Item

Burn organization and assignments

Prescribed fire objectives and prescription

Description of the prescribed fire area (including special considerations and sensitive features)

Expected weather and fire behavior

Communications

Ignition plan

Holding plan

Contingency plan and assignments

Wildfire declaration

Safety and medical plan

Aerial ignition briefing (if aerial ignition devices will be used)

Incident action plan (IAP). The IAP is optional, but is recommended for large multi-day or high-complexity prescribed fires.

Prescribed Fire Plan Page 21 June 28, 2022

Element 11: Organization and Equipment

Specify the minimum required implementation organization or capabilities (line production rates, etc.) by position, equipment, and the supplies needed for all phases of the prescribed fire until the fire is declared out. See the Interagency Prescribed Fire Planning and Implementation Procedures Guide for details.

Element 11:

Organization and Equipment

Project Name:

Ignition Unit Name:

A. Implementation Organization or Capabilities

Position ICS Code Amount Needed Line Building Rates (ch/hr)

Prescribed Fire Burn Boss RXB3 1 1

Ignition Specialist Function FIRB N/A

Holding Specialist Function SINGLE RESOURCE BOSS N/A

Fire Effects Monitor FEMO N/A

Lookout THSP N/A

Engine Boss, Operator, and Crew ENGB NA

Ignition Crew RXCM 1 1

Holding Crew RXCM N/A

Aerial Ignition Crew (as needed) PLDO N/A

Prescribed Fire Plan Page 22 June 28, 2022

B. Equipment

Equipment Type Amount Needed Number of Personnel

Line Building Rates (ch/hr)

Engine

Engine

Dozer

Water Tender

Aviation Resources

Prescribed Fire Plan Page 23 June 28, 2022

C. Supplies

Supplies Amount Needed Need to Order

Drip Torches or Other lighting devices 1 per lighter

Chainsaws N/A

Hand Tools 1 per person

Fuel N/A

Portable Water Tanks N/A

Hoses N/A

UTV and/or ATV with Tank N/A

UTV and/or ATV N/A

Portable Pump N/A

D. Total Line Production Rates

Total line building capability at dry/hot end of prescription (ch/hr): 1 ch/hour

Expected line building capability needed during initial escape at critical holding area at dry/hot end of prescription (ch/hr):

1 ch/hour

The line building rate of on-site resources will exceed perimeter increase during initial escape if the wind speed is (mi/hr):

Greater than

20 mph

Prescribed Fire Plan Page 24 June 28, 2022

Organization Chart

Organization will be assigned by the RXB3 prior to commencing any Ignition operations and documented in the prescribed fire plan, RXB3 will assign positions as needed.

Prescribed Fire Plan Page 25 June 28, 2022

District Ranger:

Prescribed Fire Burn Boss:

Holding Operations:

Holding Crew:

Engines & Equipment:

Ignition Operations:

Ground Ignition Crew:

Fire Information:

Fire Behavior Monitor:

District Fire Management Officer:

District Fuels Planner:

Prescribed Fire Plan Page 26 June 28, 2022

Element 12: Communication

Element 12:

Communications

Project Name:

Ignition Unit Name:

Command, Tactical, and Air Operations Frequencies

Channel RX RX Tone TX TX Tone Remarks

2 East Dixie N 171.5750 131.8 N 164.9375 123.0 Use on North end of district

4 East Antelope N 171.5750 131.8 N 164.9375 156.7 Use on South end of district

3 East Sheep 171.5750 131.8 164.9375 146.2 Backup for East Antelope

9 Fire TAC N 168.3125 131.8 N 168.3125 131.8 Primary Tac channel

Project Phone Numbers

Personnel Name Agency/Affiliation Telephone Number

Brian Bishop – District FMO USFS – Malheur National Forest 541-820-3802

Justin Clarry – District AFMO USFS – Malheur National Forest 541-820-3804

Taylor Grysen – Fire Ecologist USFS – Malheur National Forest 541-820-3896

Brie Myers – Fuels Operations USFS – Malheur National Forest 541-820-3855

Vacant – Fuels Technician USFS – Malheur National Forest

John Day Interagency Coordination Center USFS – Malheur National Forest 541-575-1321

ODF Smoke Management Center State of Oregon 503-945-7401

Oregon Department of Forestry State of Oregon 541-575-1139

Prescribed Fire Plan Page 27 June 28, 2022

Element 13: Public and Personnel Safety, Medical

Element 13: Public and Personnel Safety and Medical Plan

Project Name:

Ignition Unit Name:

Safety Hazards

Vehicle Travel

Smoke Exposure Exposure to snags Footing on uneven terrain Rolling Material and/or rocks

Measures Taken to Reduce the Hazards

• A safety briefing will be conducted prior to ignition, mop-up, and patrol operations. A thorough review of the Job Hazard/Risk Analysis will be conducted and any specific hazards within the unit will be identified prior to ignitions and mitigation actions will be implemented.

• All personnel shall make every effort to minimize their smoke exposure.

• Qualified burn personnel may be required to accompany non-operational personnel that have reason to be in the project area.

Emergency Medical Plan

Emergency Medical Procedures

In the event of serious accidents or injuries:

• In the event of an accident or injury the burn boss will be notified immediately. Burn boss will coordinate with the resources that are closest to the accident/injury and establish an IC. The IC will go direct with dispatch the medical procedure will follow the 8 line incident with in an incident protocols.

Emergency Evacuation Methods

• EMS will be activated through contacting John Day Interagency Coordination Center using the 8 Line

(541-575-1321) or by command radio channel.

Prescribed Fire Plan Page 28 June 28, 2022

Emergency Facilities and Capabilities

Hospital Address Phone Helipad

(Y/N) LAT & LONG

Travel Time Air Ground

Blue Mountain Hospital

170 Ford Road John Day Oregon 541-575-1311 Y LAT: W 44o 25.051’

LONG: N 118o 57.606’ <1 hour

* St. Charles Hospital

2500 NE Neff Road Bend, Oregon 541-382-4321 Y LAT: W 44.066389

LONG: N 121.265278 1 hour

** Legacy Emmanuel

2801 North Gantenbein Ave.

Portland, Oregon 503-413-2200 Y LAT: W 45o 32.58

LONG: N 122o 40.26 >1 hour

Note: (*) symbolizes trauma center and (**) symbolizes burn center.

Directions from Nearest Medical Facility to Project via Ground

Directions to project area via ground transport will vary day to day and no one route can be identified. Directions will have to be request upon the event of a medical emergency that needs ground transport to a medical facility.

Dispatch Centers and Key Contact Information

The IC will initiate on-site response and coordinate additional response needs using the 8 Line. EMS will be activated through contacting John Day Interagency Coordination Center (541-575-1321) or by command radio channel.

Prescribed Fire Plan Page 29 June 28, 2022

JDICC Medical Incident Report

Date: _______ Time: _______ Division/Location: ____________________

Line Information

NO PATIENT NAME(S) OVER THE RADIO!

Notes

1.

Declare the nature of the emergency (Level of Severity):

Medical injury/Illness? Life threatening?

RED – Serious and/or life threatening injury - Immediate Medical Attention and Transportation

YELLOW – Serious, non-life threatening – Immediate Medical Attention and Transportation

GREEN – Minor injuries, Evaluate need for Medical Attention and Transportation

Triage IRPG Page 48

RED = Airway obstruction, difficulty breathing, major blood loss, chest pain, crush injury, penetrated object, open fracture, severe burns, loss of consciousness

YELLOW = Closed fracture, significant trauma;

lacerations and bleeding not controlled by pressure, not able to walk, severe to moderate burns

GREEN = Small area abrasions or lacerations, bleeding controlled by pressure, minor sprain, general sickness

2.

If life threatening, Clear designated radio frequency for emergency traffic:

Command Frequency:

Emergency radio traffic restricted to on-scene Medic or POC

Identify Air to Ground & Air to Air Frequencies

Prescribed Fire Plan Page 30 June 28, 2022

3.

Identify the on-scene Point of Contact (POC) by resource and last name: (i.e. POC is TFLD Smith):

POC:

4.a

Patient Assessment identify nature of incident, number of injured:

Patient #1 - ___________________________________

Patient #2 - ___________________________________

Assessment IRPG Page 42

Airway/Breathing/Pulse

Level of Consciousness/Pupils Major Bleeding

Skin Condition/Color

Injury:

Bleeding Eye

Fracture Burns

Head Injury Bee Sting

Other: Gender, Age, Medical Tag, 4.b

Patient Location:

Lat: _____O _____. _____’

Landmarks, Road #/Milepost, Jct., Legal Description, GPS Coordinates

Route of Travel

Prescribed Fire Plan Page 31 June 28, 2022

Long: _____O _____. _____’ Fire: Identify drop point, staging area, division, spike camp, line area or GPS

5.

Identify on scene medical personnel by position and last name:

First Aid Responder, EMT, Other

Fire: crew or field medic/EMT

6.

Identify preferred method of patient transport: (See next page for Air Transportation Information)

Ground ambulance/transport or air transport if in a remote location

Identify flagger or escort for the ambulance

Helicopter Landing Zone IRPG Page 57 Set GPS on WGS-84

Use Degrees, Minutes and Tenths of Minutes:

(00O 00.00’ - 000O 00.00’)

7.

Additional Resources/Special Equipment Needed:

Backboard/Litter, Trauma Kit, O2, IV, Ropes, Rescuers/Pack-out, 8.

Document all information received and transmitted on the phone or radio:

If available, ask someone to assist you

Prescribed Fire Plan Page 32 June 28, 2022

AIR TRANSPORTATION / EXTRACTION FOR MEDICAL EMERGENCIES

Contact John Day Interagency Coordination Center or EMS personnel can order direct via local 9-1-1.

Definitions:

• Air Ambulance – Requires landing area

• Rescue Hoist – Line/cable that will raise/lower persons into/out of the helicopter

• Short Haul – Transport persons attached to a fixed line beneath the helicopter for short distances

Consider the following:

• Nature/extent of injuries (see JDIDC Medical Emergency Response 9-Line)

• Wilderness/remote areas vs. non-wilderness/roaded areas

• Weather, Terrain, Access, Time of Day and available landing areas

Landing Zone (LZ) conditions:

• Distance between Incident Site and Landing Zone

• Landing Zone Lat/Long and Elevation (include datum)

• Landing Zone approximate size (IRPG Page 57-59)

• Weather conditions including Wind speed/direction

• Trees/snags/powerlines and other hazards – include height

Landing Zone (LZ) Safety & Communications:

• Establish ground contact and air to ground frequency (Agency or HEAR)

• Establish/maintain radio communication with in-coming helicopter

• Clear and secure the Landing Zone

• Use flagging on a tree or pole for Wind Direction

• Use compass/signal mirror to alert helicopter of location

• Do not approach Helicopter

Prescribed Fire Plan Page 33 June 28, 2022

Element 14: Test Fire

Element 14: Test Fire Project Name:

Planned Locations and Specific Instructions

The initial test fire will take place in an area that is representative of the fuels and conditions in the burn unit as determined by the RXB3.

On multiple-day projects, evaluation of current active fire behavior, in lieu of a test fire, may provide a comparative basis for continuing and must be documented. If in doubt however, initiate a separate test fire and evaluate results.

Test Fire Documentation

Weather Conditions On Site

Date

Cloud Cover %

Temperature

Relative Humidity

Fine Dead Fuel Moisture

Wind Speed

Test Fire Results

Flame Length

Rate of Spread

Smoke Dispersion

Other

The following is the process for notifying JDIDC on test fire:

1. Notify JDICC of starting test fire in burn area.

2. Notify JDICC that proceeding with ignition or not.

Did the test fire meet prescription parameters?

Yes No

Comments

Prescribed Fire Plan Page 34 June 28, 2022

Prescribed Fire Plan Page 35 June 28, 2022

Element 15: Ignition Plan

Element 15:

Ignition Plan

Project Name:

Firing Methods (including techniques, sequences, and patterns)

• Exact hand ignition patterns will be determined by the RXB3 unit by unit. However, patterns should take into account how to minimize smoke exposure to personnel and stay within tree mortality parameters.

Devices

Ignition devices could be the following:

1) Drip torches

Minimum Ignition Staffing

See Element 11 – Organization and Equipment.

Prescribed Fire Plan Page 36 June 28, 2022

Element 16: Holding Plan

If modeling outputs or worksheets (i.e., Fireline Handbook production rates, BEHAVE, etc.) and/or documented empirical evidence were used to justify minimum holding resources required, attach or reference them here.

Element 16:

Holding Plan

Project Name:

Ignition Unit Name:

General Procedures for Holding Units will be monitored post ignition.

Critical Holding Points and Actions

Any unit immediately adjacent to private property, PCRD boundary are considered critical holding points.

• For any unit specific critical holding points refer to RXB3 spread sheet

Minimum Organization or Capabilities Needed (also see Element 11)

Minimum capabilities needed for holding are identified under Element 11 - Organization and Equipment.

The Holding Specialist function will be held at the (ICS position) level based on complexity of burn and holding operation. On ignition days and subsequent days of the prescribed fire, a mix of the number and kinds of hand crews and engines may be modified as long as stated production capabilities are not compromised. As the prescribed fire progresses from ignition to holding to mop up and patrol, specified capabilities and/or types of resources may be adjusted.

Prescribed Fire Plan Page 37 June 28, 2022

Element 17: Contingency Plan

The contingency plan is the portion of the prescribed fire plan that considers low-probability but high-consequence events and the actions needed to mitigate them. Contingency planning is the determination of what additional actions or additional resources (or both) are needed to keep the prescribed fire within the scope of the prescribed fire plan.

At a minimum, this element addresses contingency options related to maintaining the prescribed fire within the ignition unit and/or prescribed fire project area. The contingency plan establishes Contingency Action Points (CAPs) or limits that indicate when additional actions (tactical and non-tactical) or resources, or both, will be needed. If it is determined that contingency resources are not needed, the rationale for that decision should be documented in this element of the prescribed fire plan (IPFPIPG, 2017pp.31-32).

Element 17:

Contingency Plan

Project Name:

Ignition Unit Name:

Contingency Action Points (CAPs) CAP Narrative

Designator and Description CAP #1 – Threat of fire behavior leaving boundaries of unit.

CAP #2 – Fire behavior has left unit boundaries and spread to private property.

Management Intent Management intent (1) provide a safe and effective working environment (2) contain spot fires before the end of the next burn period (3) minimize resource damage(4) minimize effected or burned acres from spot fires outside of intended burn area.

Recommended Action(s) to Consider

• Contact John Day Interagency Coordination Center and request part or all of identified contingency resources, if not already on site.

• Notify DFMO or designated acting.

• Notify District Ranger or Acting.

• If private property is impacted or threatened notify Oregon Department of Forestry.

• Notify Private land owner.

Recommended Resources Recommended contingency resources:

• (1) Type 6 engine

Time Frame All contingency resources need to be on site within 2 hours of being dispatched.

Responsibility It is the responsibility of the RXB3, District Duty Officer, and the District Agency Administrator to manage a progressing situation in a safe and efficient manner.

Prescribed Fire Plan Page 38 June 28, 2022

Element 18: Wildfire Conversion

“A prescribed fire, or a portion or segment of a prescribed fire, must be declared a wildfire by those identified in the plan with the authority to do so, when either or both of the following criteria are met:

• Prescription parameters are exceeded and holding and contingency actions cannot secure the fire by the end of the next burning period

• The fire has spread outside the project area and the associated contingency actions have failed or are likely to fail and the fire cannot be contained by the end of the next burning period” (IPFPIPG, 2017pp. 33-34).

Element 18:

Wildfire Conversion

Project Name:

Ignition Unit Name:

Wildfire Will Be Declared By (i.e., who has the authority to declare?)

The RXB3, DFMO and Agency Administrator will have the authority to declare the prescribed fire a wildfire. If any of the following situations occur, the burn will be declared a wildfire, initial attack will occur, and appropriate management response will take place.

1. Contingency actions have failed or are likely to fail and cannot be mitigated.

After wildfire declaration, a project cannot be returned to a prescribed fire.

Incident Commander (IC) Assignment Should a wildfire be declared, the RXB3 may become the Incident Commander until relieved or replaced. The IC type will be identified by completing a Northwest Incident Organizer (OR 9210-1). The IC will organize all on-site resources for a safe and aggressive response. Personnel within the prescribed fire organization will transition into ICS wildfire positions they are qualified to carry out. The IC will order additional suppression resources necessary to support the suppression effort by contacting John Day Interagency Coordination Center.

Upon a wildfire conversion occurring, all overhead personnel will document actions taken on a Unit Log. After the incident is contained, post burn documentation will be completed. The RXB3 will submit a report documenting weather, resources on site, ignition operations, holding actions, and other pertinent data after transition to a wildfire.

Notifications The RXB3/IC will notify JDICC and the DFMO of the escape and identify himself/herself as the IC. DFMO will then notify the Agency Administrator and/or the Forest Supervisor. JDICC will notify contacts listed on the notification plan of the escape and the current situation.

Extended Attack Actions and Opportunities to Aid in Fire Suppression

The DFMO and/or IC, Resource Advisor, and Agency Administrator will develop a WFDSS which will help determine the appropriate management response to the escaped fire. The WFDSS process is required when a wildfire escapes initial attack.

Prescribed Fire Plan Page 39 June 28, 2022

Prescribed Fire Plan Page 40 June 28, 2022

Element 19: Smoke Management and Air Quality

Element 19:

Smoke Management and Air Quality

Project Name:

Ignition Unit Name:

Smoke Management Number:

Compliance and Permits Needed

OREGON

This prescribed fire will be conducted in compliance with Oregon Department of Forestry (ODF) smoke management policy. Daily instructions provided by the ODF smoke management forecaster will be followed. The ODF smoke management forecaster may be contacted at: (503) 945-7401.

ODF smoke management forecasters will be informed of the proposed burn. The Units will be registered in FASTRAX at least one week prior to the burn, planned in FASTRAX prior to ignition and following accomplishment. Planning and accomplishment are required for each day of ignition.

Smoke-Sensitive Receptors These can be population centers, recreation areas, hospitals, airports, transportation corridors, schools, nonattainment areas, Class I areas, and restricted areas.

Receptor Direction Distance Strawberry Wilderness Air Shed John Day, Oregon Burns, Oregon

Potentially Impacted Areas

• Potential impact areas, other than the identified smoke sensitive areas, could be Prairie City, Unity, Austin Junction or Highway 26.

Mitigation Strategies and Techniques for Reducing Smoke Impacts

A combination of the following could be used:

• Acceptable mixing heights

• Wind direction to avoid sensitive receptor areas

• Burn during optimum prescription parameters

Review smoke management forecasts for any special conditions or precautions.

Prescribed Fire Plan Page 41 June 28, 2022

Prescribed Fire Plan Page 42 June 28, 2022

Element 20: Monitoring

At a minimum, specify the weather (forecast and observed), fire behavior and fuels information, and smoke dispersal monitoring required during all phases of the project and the procedures for acquiring it, including who and when (IPFPIPG, 2017 pp 35).

Element 20:

Monitoring

Project Name:

Ignition Unit Name:

Required Fuels Information and Procedures

Fuels in the project units can either be natural fuels and or activity fuels.

Required Weather Monitoring (Forecast and Observed) and Procedures The RXB3 will obtain daily weather from NOAA Fire weather site or similar weather site to make sure forecasted weather is conducive to meet burn plan objectives.

Current, on-site, weather will be monitored to make sure observed weather is conducive to meet burn plan objectives.

Required Fire Behavior Monitoring and Procedures

Ignition Date Ignition Time/Start Ignition Time/Stop

Time Temperature Relative Humidity Wind Speed Wind Direction Flame Length

Prescribed Fire Plan Page 43 June 28, 2022

Monitoring Required to Ensure That Prescribed Fire Plan Objectives Are Met

Monitoring will be done on-site during implementation of burning piles

Required Smoke Dispersal Monitoring and Procedures

Nearby communities and major road ways will be monitored for impacts of smoke. Adjustment of igniting more piles the next ignition period will be based on observed impacts of smoke from current ignition period.

Describe the post-burn activities that must be completed, including the person responsible for completing them and the time frame for completion. Post-burn activities may include preparing a post-burn report, finalizing the project file, implementing safety mitigation measures, close-out of applicable pre-burn considerations, close-out of NEPA mitigations, and rehabilitation needs (IPFPIPG, 2017 p 35).

Element 21:

Post-Burn Activities

Project Name:

Ignition Unit Name:

Post-Burn Activities That Must Be Completed

Post-Burn Activity Who Is Responsible Timeframe

Report smoke accomplishment in FASTRAXS RXB3 After completion of burning unit.

Prescribed Fire Plan Page 44 June 28, 2022

Appendices

Appendices A through E are required. Additional appendices can be included as needed (e.g., plastic sphere dispenser aviation safety plan, desired wind directions for project area, and so on).

A. Maps

• Required: Vicinity Map, Project or Ignition Unit Map

• Optional: smoke dispersal maps, additional project maps, fuel or fuel model maps, and maps of water or air quality monitoring sites

B. Technical Reviewer Checklist

C. Complexity Analysis

D. Agency-Specific Job Hazard Analysis or Risk Assessment

E. Fire Behavior Modeling Documentation or Empirical Documentation (unless it is included in the fire behavior narrative in Element 7, Prescription)

F. Smoke Management Plan and Smoke Modeling Documentation (Optional)

Prescribed Fire Plan Page 45 June 28, 2022

Appendix A: Project Maps

Prescribed Fire Plan Page 46 June 28, 2022

Appendix B: Technical Reviewer Checklist

Prescribed Fire Plan Elements S/U Comments

1. Signature page

2. GO/NO-GO Checklists

3. Complexity Analysis Summary

4. Description of the Prescribed Fire Area

5. Objectives

6. Funding

7. Prescription

8. Scheduling

9. Pre-burn Considerations and Weather

10. Briefing

11. Organization and Equipment

12. Communication

13. Public and Personnel Safety, Medical

14. Test Fire

15. Ignition Plan

16. Holding Plan

17. Contingency Plan

18. Wildfire Conversion

19. Smoke Management and Air Quality

20. Monitoring

21. Post-burn Activities Appendix A: Maps Appendix B: Technical Reviewer Checklist Appendix C: Complexity Analysis Appendix D: Agency-Specific Job Hazard Analysis or Risk Assessment

Appendix E: Fire Behavior Modeling Documentation or Empirical Documentation

Appendix F: Smoke Management Plan and Smoke Modeling Documentation (Optional)

Other

S = Satisfactory U = Unsatisfactory

Recommended for Approval: _________ Not Recommended for Approval: _________

Technical Reviewer Qualification and currency (Y/N) Date

Prescribed Fire Plan Page 47 June 28, 2022

Approval is recommended subject to the completion of all requirements listed in the comments section, or in the Prescribed Fire Plan.

Prescribed Fire Plan Page 48 June 28, 2022

Appendix C: Complexity Analysis

Instructions: This worksheet is designed to be used with the Prescribed Fire Complexity Rating descriptors on Page 6 of the Prescribed Fire Complexity Rating System Guide.

1. Potential for Escape

Risk Rationale

Preliminary Rating:

Low

In the very unlikely event of a spot fire, prescribed weather and fuel conditions will lead to easy containment by on site ground forces.

Final Rating:

Low

No change.

Potential Consequences Rationale

Preliminary Rating:

Low

Piles were built and will be ignited to minimize crown and bowl scorching of adjacent trees. Spacing between the majorities of the piles has been adjusted to minimize spread.

Final Rating:

Low

No change.

Technical Difficulty Rationale

Preliminary Rating:

Low

Potential spot fires can be contained by on site personnel, supervised by person with single resource boss qualifications.

Final Rating:

Low

No change.

2. The Number and Dependency of Activities

Risk Rationale

Preliminary Rating:

Low

Only on site personnel are required to accomplish the activity.

http://www.nwcg.gov/pms/RxFire/complexity_analysis.pdf

Prescribed Fire Plan Page 49 June 28, 2022

Final Rating:

No change

Prescribed Fire Plan Page 50 June 28, 2022

Potential Consequences Rationale

Preliminary Rating:

Low

Coordination issues do not result in an increased risk of escape or failure of the project overall.

Final Rating:

Low

No change

Technical Difficulty Rationale

Preliminary Rating:

Low

RXB3 can coordinate resources (FIRB, Holding Boss)

Final Rating:

3. Off-Site Values

Preliminary Rating:

Low

Probability of damage to adjacent structures, fences, and land is expected to be low with prescribed weather and fire behavior parameters.

Final Rating:

Low

No change

Potential Consequences Rationale

Preliminary Rating:

Low

The close proximity of high value private structures and potential for visiting public entering the area.

Final Rating:

Low

No change

Technical Difficulty Rationale

Preliminary Rating:

Low

RXB3 will have training, qualifications and experience to manage the protection of off-site values.

Prescribed Fire Plan Page 51 June 28, 2022

4. On-Site Values

Preliminary Rating:

Low

No special features are present within project area. No piles will be burned within archaeological sites. Any possible new sites located during implementation will be protected until cleared by the District Archeologist.

Final Rating:

Low

No change

Potential Consequences Rationale

Preliminary Rating:

Low

There are no special features within the project area and on-site resources will not be adversely affected as long as the project stays within the prescribed fire behavior.

Final Rating:

Low

No change

Technical Difficulty Rationale

Preliminary Rating:

Low

RXB3 will have the training, qualifications and experience to manage the protection of on-site values

Final Rating:

5. Fire Behavior

Preliminary Rating:

Low

Fuels vary between Fuel Models 8, 9, and 10. No torching should be expected and fire behavior is highly predictable. Due to fuel moisture content and weather, fire behavior will be kept to a minimum.

Prescribed Fire Plan Page 52 June 28, 2022

Low

No change

Potential Consequences Rationale

Preliminary Rating:

Low

Due to fuel moisture content and weather at the time of the burn, fire behavior will be kept to a minimum.

Final Rating:

Low

No change

Technical Difficulty Rationale

Preliminary Rating:

Low

RXB3 and Holding Boss, when required (single resource boss) will be qualified and experienced to manage expected fire behavior

Final Rating:

6. Management Organization

Preliminary Rating:

Low

Planned burn parameters require only a minimum organization and thus low risk.

Final Rating:

Low

No change

Potential Consequences Rationale

Preliminary Rating:

Low

Consequences are expected to be minimal.

Final Rating:

Low

Technical Difficulty Rationale

Prescribed Fire Plan Page 53 June 28, 2022

Preliminary Rating:

Low

RXB3 and Firing Boss / Holding Boss are positions that will be filled at the local level.

Final Rating:

Prescribed Fire Plan Page 54 June 28, 2022

7. Public and Political Interest

Risk Rationale

Preliminary Rating:

Low

The adjacent landowners have a high level of interest and the project could be visible from two population centers. Most units are located in remote areas.

Final Rating:

Low

No change

Potential Consequences Rationale

Preliminary Rating:

Moderate

Even though the probability of negative impacts occurring are slight, if objectives are exceeded in a negative way or private property were to be affected, public criticism can be expected.

Final Rating:

Moderate

No change

Technical Difficulty Rationale

Preliminary Rating:

Low

District Administrator, District FMO and a Public Affairs Officer will be notified prior to ignition on these units.

Final Rating:

8. Fire Treatment Objectives

Preliminary Rating:

Low

Objectives are limited to easily achieved fuel reduction and ecosystem maintenance. The necessary fire behavior is easily created, managed, and monitored.

Final Rating:

Low

Prescribed Fire Plan Page 55 June 28, 2022

Low

Other opportunities to meet objectives will be available and potential to exceed objectives are limited due to prescribed fuel and weather parameters.

Final Rating:

Low

No change

Technical Difficulty Rationale

Preliminary Rating:

Low

Measures to achieve the objectives are easy to complete and will be accomplished by hand lighting.

Final Rating:

9. Constraints

Preliminary Rating:

Low

The listed constraints are easily achievable with planned organization.

Final Rating:

Low

No change

Potential Consequences Rationale

Preliminary Rating:

Low

Weather constraints may alter time frames to start and complete the project. In the event of a negative impact on sensitive resources, the use of prescribed fire may be jeopardized in the future.

Final Rating:

Low

No change

Technical Difficulty Rationale

Preliminary Rating:

Constraints do not increase the difficulty of completing the project.

Prescribed Fire Plan Page 56 June 28, 2022

Prescribed Fire Plan Page 57 June 28, 2022

10. Safety

Risk Rationale

Preliminary Rating:

Low

Burning has inherent risk.

Final Rating:

Low

No change

Potential Consequences Rationale

Preliminary Rating:

High

Falling snags, rolling material, fire behavior and weather are not always 100% predictable and thus can result in a fatality or serious injury.

However, standard safety procedures will be in place.

Final Rating:

Moderate

JHA’s, safety standards and procedures, and experience levels will be in place.

Technical Difficulty Rationale

Preliminary Rating:

Low

To insure safety issues are mitigated and communicated, at a minimum the organization will require a RXB3, FIRB, and Holding Boss (only for Swamper burn—on the dry end of the prescription).

Final Rating:

Low

Public will be notified prior to ignition and signs will be posted if deemed necessary by RXB3.

11. Ignition Procedures/Methods

Preliminary Rating:

Low

Hand lighting using standard techniques will minimize risk. Firing sequence and pattern can be adjusted and still meet objectives.

Final Rating:

Low

Prescribed Fire Plan Page 58 June 28, 2022

Low

The proposed ignition method is hands on and straight forward and is adjustable to differing conditions.

Final Rating:

Low

No change

Technical Difficulty Rationale

Preliminary Rating:

Low

Objectives and personnel needed for ignition will require a RXB3.

Final…